Provider Demographics
NPI:1245352533
Name:SCHORY, THOMAS J (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:SCHORY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 WALLACE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754-2408
Mailing Address - Country:US
Mailing Address - Phone:270-259-3035
Mailing Address - Fax:270-259-3332
Practice Address - Street 1:910 WALLACE AVE STE 206
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-2408
Practice Address - Country:US
Practice Address - Phone:702-593-0352
Practice Address - Fax:270-259-3332
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41190208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50015730OtherPASSPORT
KYP00412336OtherRAILROAD MEDICARE
000000523283OtherANTHEM BCBS
KY7100007810Medicaid
KYP00412336OtherRAILROAD MEDICARE